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20 Apr 2007 : Column 811W—continued


20 Apr 2007 : Column 812W
Percentage of waits under 6 months, 1990 to 2007—Official waiting times data (Korner)—Hospital Episode Statistics
Month end: Percentage on list who were waiting under 6 months Financial year Percentage of patients treated in under 6 months

1990(1)

58

1989-90

n/a

1991(1)

61

1990-91

86

1992(1)

70

1991-92

84

1993(1)

72

1992-93

85

1994

71

1993-94

85

1995

76

1994-95

84

1996

80

1995-96

85

1997

75

1996-97

86

1998

70

1997-98

85

1999

74

1998-99

82

2000

74

1999-2000

85

2001

76

2000-01

84

2002

77

2001-02

83

2003

81

2002-03

82

2004

91

2003-04

82

2005

95

2004-05

87

2006

100

2005-06

90

February 2007(2)

100

2006-07

n/a

(1) All Korner figures from 1994 onwards are commissioner based. All HES figures are provider based.
(2) From April 2006, data collected in weeks, and therefore figures for February 2007 reflect waits under 26 weeks.
Source:
Department of Health, QF01, KH07 returns Hospital Episode Statistics, The Information Centre for health and social care.

Influenza

Martin Horwood: To ask the Secretary of State for Health with reference to the answer of 17 July 2006, Official Report, columns 244-5W, on avian influenza, what information her Department holds on (a) the fatality rates for the pandemic influenza outbreaks of (i) 1918-19 (H1N1), (ii) 1957 (N2N2) and (iii) 1968 (H3N2) and (b) the equivalent fatality rates amongst humans catching animal variations of each virus. [131162]

Ms Rosie Winterton [holding answer 16 April 2007]: Contemporary Ministry of Health estimates of deaths in England and Wales were 200,000 for 1918-19 and 30,000 for 1957. Contemporary estimates for the 1969-70 pandemic are around 80,000. The fatality rates for humans catching the animal variations of each virus is not known.

Mr. Laws: To ask the Secretary of State for Health what exercises were conducted to test the UK’s preparedness for an outbreak of pandemic flu; when each was conducted; and if she will place in the Library the evaluations of these exercises. [129906]

Ms Rosie Winterton: The Department funds the Health Protection Agency (HPA) to undertake regional and national exercises to prepare the health community in England to respond to an influenza pandemic.

Local and regional exercises

National exercises

European Union exercise

The reports for Exercise New Day, Exercise Aurora and Exercise Arctic Sea have been placed in the Library and are also available on the HPA website at:

The report on Exercise Athena will be published later in the year, and copies will be placed in the Library when available.

Exercise Common Ground, a European Commission (EC) commissioned and HPA-run influenza pandemic exercise, was undertaken with participants that included the EC and European Union member states. The final report is on DG-SANCO of the European Commission website at:


20 Apr 2007 : Column 813W

Evaluation reports for national exercises, such as Exercise Shared Goal and Exercise Winter Willow, are not formally published. However, the lessons identified through national exercises are taken forward and inform national policy where appropriate through TIDO (Prepare), the official committee on resilience.

Mr. Lansley: To ask the Secretary of State for Health what her Department's central planning assumption is for the (a) clinical attack rate and (b) case mortality rate in an outbreak of pandemic influenza. [131952]

Ms Rosie Winterton: The Government's current planning assumptions are based on a range of possible clinical attack rates of between 25-50 per cent. and overall case fatality rates of 0.4-2.5 per cent.

Junior Doctors: Recruitment

Miss McIntosh: To ask the Secretary of State for Health what checks are performed on qualifications claimed by applicants under the new procedures for junior doctor hospital appointments. [127201]

Ms Rosie Winterton: Applicants are expected to bring with them to interview and assessments for specialty registrar programmes, evidence of the qualifications required, as outlined in the relevant person specification. The evidence required and the application process has been designed in accordance with the requirements of the post-graduate medical education training board.

Stephen Williams: To ask the Secretary of State for Health what system of accountability is in place for the Modernising Medical Careers programme for junior doctors. [127208]

Ms Rosie Winterton: The four United Kingdom Health Departments are responsible for the overall implementation of Modernising Medical Careers. The Health Departments co-ordinate action through a United Kingdom Modernising Medical Careers Strategy Group which includes members from the Academy of Medical Royal Colleges, the General Medical Council, the Postgraduate Medical Education and Training Board (PMETB) and national health service employers. Each country also has a dedicated implementation team.

The Royal Colleges are directly responsible for developing the new competency-based curricula which are approved by PMETB. The Royal Colleges also work closely with postgraduate deans over the development of person specifications for the recruitment process and the postgraduate deans themselves oversee selection into posts.

The number of training opportunities available in 2007 was based on local discussions between local NHS employers, strategic health authorities and postgraduate deans.

Kidney Patients: East Sussex

Mr. Waterson: To ask the Secretary of State for Health how many people in (a) Eastbourne and (b) East Sussex were on the waiting list for treatment for dialysis services in each year since 1997. [130967]


20 Apr 2007 : Column 814W

Ms Rosie Winterton: This information is not collected centrally. There is no specific waiting list for dialysis. Dialysis is often an emergency treatment and patients with no kidney function will die in a matter of weeks if they do not receive dialysis. For patients whose disease has been identified well in advance of end-stage renal failure, dialysis begins at a time when the individual and his or her consultant feel it is appropriate. Part one of the national service framework for renal services recommends starting to prepare people for dialysis about a year before it will be needed, as such preparation leads to better outcomes for the patient.

Maternal Mortality

Justine Greening: To ask the Secretary of State for Health if she will conduct an inquiry into maternal deaths as a contemporary successor to Why Mothers Die 1997-1999: The Confidential Enquiries into Maternal Deaths in the United Kingdom; and if she will make a statement. [133012]

Mr. Ivan Lewis: The Department continues to fund and recognise the work of the confidential enquiries into maternal deaths and the next “Why Mothers Die” report, covering the three-year period from 2003-05, is due out in December this year.

Maternity Services: Expenditure

Mr. Baron: To ask the Secretary of State for Health what the total expenditure by her Department on neonatal care services including staff costs but excluding National Specialist Commissioning Advisory Group-funded services was in each of the last five years. [132256]

Mr. Ivan Lewis: This information is not available in the format requested.

Estimates of total expenditure on neonatal care services for the last three financial years are available from the programme budgeting returns and are as shown.

These data cover all primary, secondary and community expenditure. It is not possible to split the expenditure to exclude information on a National Specialist Commissioning Advisory Group.

Gross expenditure (£000)

2003-04

655,015

2004-05

811,215

2005-06

786,390

Source:
PFR4 DH Annual Accounting Forms

Medicine: Students

Mr. Stephen O'Brien: To ask the Secretary of State for Health how much has been spent on the Medical Training Application Service. [131759]


20 Apr 2007 : Column 815W

Ms Rosie Winterton: The cost for the Medical Training Application Service in 2006-07 is £1.75 million, funded proportionately by all four United Kingdom Health Departments.

Mental Health Services: Buckinghamshire

Mr. Paul Goodman: To ask the Secretary of State for Health how many people treated by a mental health trust responsible for Buckinghamshire were (a) moved from an enhanced care plan approach to a standard care plan approach and (b) discharged from either an enhanced care plan approach or a standard care plan approach in each year since 2001. [132982]

Andy Burnham: The information requested is not held centrally. The Department is currently undertaking a review of the care programme approach to provide patients with greater control and care tailored to their individual needs. A public consultation was held from 14 November 2006 to 19 February 2007 and further guidance will be issued in due course.


20 Apr 2007 : Column 816W

Mentally Ill: Cannabis

Mr. Evans: To ask the Secretary of State for Health (1) how many people were treated for cannabis-induced psychosis in each of the last five years; and how many were under 18 years old; [131203]

(2) what treatments are available for people suffering from cannabis-induced psychosis. [131204]

Ms Rosie Winterton: Information about the number of finished consultant episodes in patients with a primary diagnosis of mental and behavioural disorder due to the use of cannabinoids and which has resulted in a psychotic disorder, or a resident or late-onset psychotic disorder is shown in the table. The data do not include those patients seen in primary care.

Data are collected by gender and in the age ranges 0 to 14 years, 15 to 59 years, 60 to 74 years and 75 years and over, but are not available prior to 2002-03. Separate data relating to people under 18-years-old and who were treated for cannabis-induced psychosis are not available.

Number of finished consultant episodes in patients with a primary diagnosis of mental and behavioural disorder following cannabinoid use, resulting in psychotic disorder and resident and late-onset disorder, in the national health service in England, 2002-03 to 2005-06
2002-03 2003-04 2004-05 2005-06
Age Psychotic disorder Resident and late-onset psychotic disorder Psychotic disorder Resident and late-onset psychotic disorder Psychotic disorder Resident and late-onset psychotic disorder Psychotic disorder Resident and late-onset psychotic disorder

Male

0-14

1

0

2

0

3

0

1

0

15-59

304

3

336

3

331

2

393

3

60-74

0

0

0

0

3

0

1

0

75+

0

0

1

0

0

0

0

0

Male total for year

305

3

339

3

337

2

395

3

Female

0-14

1

0

0

0

0

0

2

1

15-59

64

0

87

0

68

1

92

1

60-74

2

0

0

0

0

0

0

0

75+

0

0

0

0

0

0

0

0

Female total for year

67

0

87

0

68

1

94

2

Male and female total for year

372

3

426

3

405

3

489

5

Source:
Hospital Episode Statistics

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